Bradley, Teresa J

Bradley, Teresa J is an individual health care provider with primary practice located at 15 Skyland Inn Dr , Arden NC 28704-7714. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bradley, Teresa J can be contacted via phone (828) 681-5327.

Contact Information

Primary practice address
15 Skyland Inn Dr Arden NC 28704-7714
Phone: (828) 681-5327
Fax: (828) 681-9846
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 95-01183 North Carolina

Profile Details

NPI number 1396711230
LBN Legal business name Bradley, Teresa J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Dec 4th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396711230 NPPES
North Carolina MEDICAID 8917808
North Carolina Other P01203020

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